Individual
WONSUK WARREN SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
300 W PUEBLO ST, SANTA BARBARA, CA 93105-4311
(805) 682-7300
Mailing address
SANSUM CLINIC, P.O. BOX 62106, SANTA BARBARA, CA 93106-2106
(805) 682-7300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C53785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI006Y
MEDICARE PTAN
CA
Enumeration date
05/12/2006
Last updated
10/21/2014
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